THE REAL IMPACT OF DOMESTIC VIOLENCE ON HEALTH MAY 1, 2013 KRISTIN CARMICHAEL LISW, MBA AUTHOR: X...
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Transcript of THE REAL IMPACT OF DOMESTIC VIOLENCE ON HEALTH MAY 1, 2013 KRISTIN CARMICHAEL LISW, MBA AUTHOR: X...
THE REAL IMPACT OF DOMESTIC VIOLENCE ON HEALTH
MAY 1, 2013
KRISTIN CARMICHAEL L ISW, MBAAUTHOR: X THAT EX: MAKING A CLEAN BREAK WHEN THE RELATIONSHIP IS OVERDOMESTIC VIOLENCE SPECIALISTCHRISTUS ST. VINCENT REGIONAL MEDICAL CENTER
Beyond Broken Bones
Objectives
1. Explore the links between abuse and a variety of possible negative health outcomes
2. Realize the benefits of addressing abuse in the medical setting
3. Learn several abuse-response models which can engage your local medical providers in partnership
1. In what ways do offenders target survivors health?
2. Why do offenders target survivor health?
3. What does it tell us that offenders place emphasis here?
Nicolas Raymond
3 Important Questions To Ask About DV and Health?
Health Impacts of Abuse
What health impacts from domestic violence are we seeing most often from
survivors seeking services?
Long Term Consequences of Abuse
Why Do We See These Specific Impacts?
Difference between discrete incident of battering
vs. repeated exposure to abuse.
Why Address DV In Medical System?
Top 8 Reasons:Gateway for diverse peoplesSurvivors trust and have relationships established Short window of increased sensitivity and clarityPeople are used to being given recommendationsPre-knowledge that medical providers are interested
in health and wellbeingPeople know that doctors have strict confidentiality Only place where offender will not be with survivorIf you don’t work with this system it can harm
survivors
What Happens If The Medical System Is Not Engaged?
How Can Medical Providers Get Involved?
Pillars of CHRISTUS ST. Vincent Model:Working from the premise that patient health
outcomes are dramatically impacted by abuseAll planning and actions based on Results Based
Accountability frameworkMulti-disciplinary approachImplemented hospital-wide and in affiliated clinicsRelies on community experts and referrals for on-
going serviceFull partnership in community effort to improve and
increase service delivery to survivors
Most At-risk Patient’s Utilization Of The Emergency Department
Quality Oversight CommitteeDomestic Violence
GOAL:
Confidential pursuant to NMSA 1978 41-9-1
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FY09Q3 FY09Q4 FY10Q1 FY10Q4 FY11Q1 FY11Q2 FY11Q3 FY11Q4 FY12Q1 FY12Q2 FY12Q3 FY12Q4 FY13Q1 FY13Q2
Domestic Violence-3 PatientsJanuary 2009 - December 2012
Beginning of Interventions
New Strategies Identified/Investment
TOP 10: 1. Intensive case management and navigation 2. Asking survivor what their needs are 3. Counseling, psychiatric and spiritual needs addressed 4. Increased length of stay at Sobering Center 5. Recovery programs accessed out of Santa Fe 6. Cell phones, gas cards etc… 7. Stakeholder meetings, working with law enforcement 8. Unconditional positive regard 9. Coordination across many departments 10. Addressing the DV, subs. abuse, behavioral health
simultaneously
Community Collaboration Possibilities
The Safety Net abuse response program for clinicsDeveloped by the Santa Fe Medical Action Team• 1. Warm Environment For Disclosure• 2. Screening• 3. Intervention Model• 4. Doctor, Document, Data
Participating clinics include:CSV Women’s ServicesDr. VanEeckhout’s OBGYNLa Familia SouthsideLa FamiliaHealthcare for the Homeless
*Preliminary results are excellent
Christine Zenino
Final Questions To Consider
1. How are survivors lives changed by health impacts?
2. How can we talk more with survivors about their health?
3. How can our services be more responsive to survivor health?
Thank You For All You Do To End Abuse!
For More Information
Excellent National Organization:
Futures Without Violence: http://www.futureswithoutviolence.org/
To Download this PPT go to:Kristincarmichael.com
Kristin Carmichael is the author of the new book: X That Ex: Making a Clean Break When the Relationship is OverXthatex.com